Inventory and appraisement blank.



No. 7|2,|o|. Patented' oef. 2a, |902.

F. SHOCK. lNVE-NTORY AND APPRAISEMENT BLANK.

(Application filed Dec.v1:41900.) uw Model.) y l2 sheets-#sheet mi Nomzrs PETERS bmyuoolumo.. wAsH-mcwn'. D. t:

No. 7|2,|0|. n Patented Det. 28, |902.l

AF.-SH0K. 1 l

INVENTORY AND APPRAISENENT BLANK.

(Applicatio led Doc. 14, 1900.)

(N0 Model.) 2 Sheets-Sheet 2.

nu: mums besnsum woramma. WASHINGTON. u. c.

UNITED STATES PATENT OFFICE.

YFLOYD SHOCK, OF ST. LOUIS, MISSOURI.

INVENTORY AND APPRAISEMENT BLANK.

SPECIFICATION forming part of Letters Patent N0.'712,101, dated October 28, 1902. Application filed December 14, 1900. Serial No. 39,875. (No model.)

To @ZZ whom t may concern:

Be it known that I, FLOYD SHOCK, a citizen of the United States, residing in the city of St. Louis, in the State of Missouri, have invented certain new and useful Improvements in Inventory and Appraisement Blanks, of which the following is a full, clear, and exact description, reference being had to the accompanying drawings, forming part of this specification.

My invention relates to blanks for use in obtaining inventories and appraisements of taxable property, and has for its object the production of a blank of book form, so as to render it of convenient shape for handling and carrying and so that the various items of the inventory and appraisement may be carried out in successive series on the pages of the book.

Blanks of the character to which my invention relates have heretofore been made comprising single sheets, which are bound together :in tablet form, thereby producing a bulky package, notonly unwieldy to handle, but difficult to carry, particularlyin country districts, where the assessor frequently has to travel over the roads on horseback. Y With the blanks constructed in accordance with my invention they are arranged in compact and handy form and may be readily carried by the assessor in bundles in the pocket.

My invention consists in features of novelty hereinafter fully described, and pointed out in the claim. Y

Figure I is a perspective viewof my improved blank, showing the front thereof. Fig.

II is a view of the blank looking at the rearV side. Fig. III is an inside view of the blank, showing the second and third pages. Fig. IV is a similar View to Fig. III, showing the fourth and fifthV pages. Fig. Vis a similar view to Figs. III and IV, showing the sixth andseventh pages.

The blank is made up of a number of sheets of paper secured together by any suitable means, such as staples, so that they may be folded on a central line into the shape of a book.

l designates the front page of the blank, Y

vidual upon whose property the inventory and appraisement are made and other information associated with'the title of the appraisement.

2 designates the back of the blank, adapted to contain the oath required to be executed respecting the property inventoried and appraised. The second and third pages, designated by 3 and 4,7(see Fig. IIL) are adapted to contain entry of the real estate inventoried and appraised. The fourth page, designated by 5, (see Fig. IV,) :is adapted to contain entry of the amount of inventory and appraisement of city or town property. The fifth page (designated by 6) is adapted to contain entry of inventory and appraisement of personal property, and the sixth and seventh pages, designated by 7 and 8, (see Fig. V,) are adapted to contain a continued entry of personal property.

It will be seen that the entries throughout the blank are continued in consecutive series, each description of property of which entry is made heilig arranged in rotation following the entry report, so that the whole is of compact and handy arrangement.

I claim as my invention` I As a new article of manufacture, an inventory-blank of book form, in which the entries are arranged as follows: the first page or front cover-section containing an appropriatelydesignated blank space for the name of the individual upon whose property the inventory and appraisement are made; the second and the third pages containing appropriatelydesignated blank spaces for the entry of the real estate inventoried and appraised; the fourth page containing appropriately-designated blank lspaces for the entry of the inventory and appraisement of city and town property; the fth, sixth and seventh pages containing appropriately-designated blank spaces for the entry of inventory and appraisementof personal property; and the back page or cover containing an appropriate blank form of an oath.

FLOYD SHOCK. In presence of- E. S. KNIGHT, M. P. SMITH. 

